RPNCE EXAM STUDY QUESTIONS
Main Nursing Priority - Answers- physical safety (then emotional, then sleep, etc)
which system is responsible for extrapyramidal side effects - Answers- parasympathetic
which class of drugs treat EPS - Answers- anticholinergics (tropines)
Clozapine blood monitoring - Answers- weekly for the first 6mo
Normal blood glucose level - Answers- 4-7 mmol/L
which neurotransmitter is involved wit Alzheimers - Answers- acetylcholine
Erikson's Psychosocial Theory - Answers- stage theory of psychosocial development,
lifespan consists of eight dilemmas that must be solved correctly in order to solve the
next dilemma
Erickson stage 1 - Answers- trust vs mistrust
Erickson stage 2 - Answers- autonomy vs shame and doubt
Erickson stage 3 - Answers- initiative vs guilt
Erickson stage 4 - Answers- industry vs inferiority
Erickson stage 5 - Answers- Identity vs. Role Confusion (Adolescence)
Erickson stage 6 - Answers- intimacy vs isolation
Erickson stage 7 - Answers- generativity vs stagnation
Erickson stage 8 - Answers- integrity vs despair
Maslow's Hierarchy of Needs - Answers- (level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem, (level 5) Self Actualization
Sullivan's Stages of Personality Development - Answers- 1) Infancy
2) Childhood
3) Juvenile
4) Preadolescence
5) Early adolescence
6) Late adolescence
, Phases of Nurse-Patient Relationship - Answers- Pre-interaction
Orientation
Working
Termination
Preinteraction phase - Answers- occurs before meeting the patient. Nurse reviews
available data, including medical and nursing history, identifies a location and setting
that fosters comfortable, private interaction, etc.
orientation phase - Answers- Introduce, Discuss confidentiality, Set goals
working phase - Answers- The phase of the nurse-patient relationship during which the
nurse and patient identify and explore areas that are causing problems in the patient's
life.
termination phase - Answers- The final, integral phase of the nurse-patient relationship.
MAOIs - Answers- prevent breakdown of:
- epi
- norepi
- serotonin
- dopamine
- AND Tyramine
*can lead to hypertensive crisis*
Serotonin Syndrome - Answers- Similar to NMS but caused by serotonin medications,
and has HYPER-reflexive muscle activity.
- other symptoms include fever, tachycardia, hypertension, myoclonus, sweating,
diarrhea.
Bipolar I vs Bipolar II - Answers- Bipolar I: All that is required for Dx is 1 Manic Episode
(No depresive episode needed).
Bipolar II: Requires at least one depressive episode and a Hypomanic Episode
Lithium considerations - Answers- controls manic episodes in manic-depressive
individuals, mood stabilizer; use caution in potentially hazardous activities;
- check serum levels 2 times weekly during treatment, q 2-3 months on maintenance,
draw blood in AM prior to dose;
- target serum levels: maintenance = 0.6-1.2 mEq/L;
- encourage 10-12 glasses water/day and adequate salt intake (6-10 g/day)
benzodiazepines - Answers- drugs that lower anxiety and reduce stress. Also used for
alcohol withdrawal.
Main Nursing Priority - Answers- physical safety (then emotional, then sleep, etc)
which system is responsible for extrapyramidal side effects - Answers- parasympathetic
which class of drugs treat EPS - Answers- anticholinergics (tropines)
Clozapine blood monitoring - Answers- weekly for the first 6mo
Normal blood glucose level - Answers- 4-7 mmol/L
which neurotransmitter is involved wit Alzheimers - Answers- acetylcholine
Erikson's Psychosocial Theory - Answers- stage theory of psychosocial development,
lifespan consists of eight dilemmas that must be solved correctly in order to solve the
next dilemma
Erickson stage 1 - Answers- trust vs mistrust
Erickson stage 2 - Answers- autonomy vs shame and doubt
Erickson stage 3 - Answers- initiative vs guilt
Erickson stage 4 - Answers- industry vs inferiority
Erickson stage 5 - Answers- Identity vs. Role Confusion (Adolescence)
Erickson stage 6 - Answers- intimacy vs isolation
Erickson stage 7 - Answers- generativity vs stagnation
Erickson stage 8 - Answers- integrity vs despair
Maslow's Hierarchy of Needs - Answers- (level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem, (level 5) Self Actualization
Sullivan's Stages of Personality Development - Answers- 1) Infancy
2) Childhood
3) Juvenile
4) Preadolescence
5) Early adolescence
6) Late adolescence
, Phases of Nurse-Patient Relationship - Answers- Pre-interaction
Orientation
Working
Termination
Preinteraction phase - Answers- occurs before meeting the patient. Nurse reviews
available data, including medical and nursing history, identifies a location and setting
that fosters comfortable, private interaction, etc.
orientation phase - Answers- Introduce, Discuss confidentiality, Set goals
working phase - Answers- The phase of the nurse-patient relationship during which the
nurse and patient identify and explore areas that are causing problems in the patient's
life.
termination phase - Answers- The final, integral phase of the nurse-patient relationship.
MAOIs - Answers- prevent breakdown of:
- epi
- norepi
- serotonin
- dopamine
- AND Tyramine
*can lead to hypertensive crisis*
Serotonin Syndrome - Answers- Similar to NMS but caused by serotonin medications,
and has HYPER-reflexive muscle activity.
- other symptoms include fever, tachycardia, hypertension, myoclonus, sweating,
diarrhea.
Bipolar I vs Bipolar II - Answers- Bipolar I: All that is required for Dx is 1 Manic Episode
(No depresive episode needed).
Bipolar II: Requires at least one depressive episode and a Hypomanic Episode
Lithium considerations - Answers- controls manic episodes in manic-depressive
individuals, mood stabilizer; use caution in potentially hazardous activities;
- check serum levels 2 times weekly during treatment, q 2-3 months on maintenance,
draw blood in AM prior to dose;
- target serum levels: maintenance = 0.6-1.2 mEq/L;
- encourage 10-12 glasses water/day and adequate salt intake (6-10 g/day)
benzodiazepines - Answers- drugs that lower anxiety and reduce stress. Also used for
alcohol withdrawal.
